MRS. LAUREN HOLLY BUONCRISTIANO APRN, FNP-C
NPI 1740896901
Nurse Practitioner - Family in Westbrook, ME
Quality Rating: 98.23 out of 100 score
NPI Status: Active since September 22, 2020
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- PECOS Enrolled
About LAUREN BUONCRISTIANO
This page provides the complete NPI Profile along with additional information for Lauren Buoncristiano, a provider established in Westbrook, Maine with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1740896901 assigned on September 2020. The practitioner's primary taxonomy code is 363LF0000X with license number CNP201123 (ME). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1740896901
- Provider Name
- MRS. LAUREN HOLLY BUONCRISTIANO APRN, FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 HARNOIS AVE WESTBROOK, ME 04092
- Location Phone
- (207) 662-1340
- Mailing Address
- PO BOX 544 SACO, ME 04072
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-22-2020
- Last Update Date
- 11-17-2020
- Code Navigator
A nurse practitioner (NP) like Lauren Buoncristiano is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CNP201123
- License State
- ME
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lauren Buoncristiano is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 52 times for 49 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 30 times for 25 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 04092 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.72
- Minimum New Patient Price $56.28
- Maximum New Patient Price $169.96
- Average New Patient Copayment $21.68
- Minimum New Patient Copayment $14.07
- Maximum New Patient Copayment $42.49
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.18
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $138.92
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $34.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.23, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 98.23 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 86.46
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for MRS. LAUREN HOLLY BUONCRISTIANO APRN, FNP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 4 | 0 | 8 | 9 | 6 | 9 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 16 | 9 | 12 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 6 + 9 + 1 + 2 + 9 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1740896901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255369575 | STEPHEN R HAYES M.D. Individual | Internal Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1295765725 | JANE HO M.D. Individual | Pediatrics | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1360 |
| 1215196985 | ELLIS A JOHNSON MD Individual | Internal Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1689923104 | CHELSEA C GINN FNP Individual | Nurse Practitioner (Family) | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1902810294 | DONALD J MEDD MD Individual | Internal Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1902992142 | ROBERT A STURGES MD Individual | Internal Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1386632289 | KRISTIN PARRIS MD Individual | Internal Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1790896876 | MAINE MEDICAL PARTNERS Organization | Family Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-3400 |
| 1275891970 | LUCY MORGAN AMORY MD Individual | Pediatrics | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1360 |
| 1417318742 | MIKAYLA CHASE APRN-FNP Individual | Nurse Practitioner (Family) | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1821232398 | GENEVIEVE S WHITING MD Individual | Pediatrics | 1 HARNOIS AVE SUITE 1A WESTBROOK, ME 04092 (207) 662-1360 |
| 1942546254 | MISS CAROL LYN SQUIRES Individual | Social Worker (Clinical) | 1 HARNOIS AVE SUITE 2A WESTBROOK, ME 04092 (207) 661-3400 |
| 1457797235 | BRIGITTE SALEMBIER D.O. Individual | Family Medicine | 1 HARNOIS AVE SUITE 2A WESTBROOK, ME 04092 (207) 661-3400 |
| 1265865323 | JENNIFER K DEANE FNP Individual | Nurse Practitioner (Family) | 1 HARNOIS AVE 2ND FLOOR WESTBROOK, ME 04092 (207) 661-3400 |
| 1740662832 | CAITLIN COSTIGAN FNP-C Individual | Nurse Practitioner (Family) | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-3400 |
| 1518353945 | DARLENE PETERSON Individual | Family Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 661-3400 |
| 1467815274 | DR. MARC DANIEL KIMBALL M.D. Individual | Family Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 661-3400 |
| 1508259532 | ELIZABETH BACON LCSW, CADC Individual | Social Worker (Clinical) | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-1340 |
| 1609180686 | MAINEHEALTH Organization | Family Medicine | 1 HARNOIS AVE WESTBROOK, ME 04092 (207) 662-3400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740896901, enumerated in the NPI registry as an "individual" on September 22, 2020
The provider is located at 1 Harnois Ave Westbrook, Me 04092 and the phone number is (207) 662-1340
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $99.18 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on September 22, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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